DERRICK WAGONER, LPCC
Mental Health at Ashley St, Bowling Green, KY

License number
Kentucky 1839
Category
Social Work
Type
Professional
License number
Kentucky 172294
Category
Mental Health
Type
Mental Health
Address
Address 2
1048 Ashley St STE 201, Bowling Green, KY 42103
104 Reynolds Rd, Glasgow, KY 42141
Phone
(270) 904-6567
(270) 904-6570 (Fax)
(270) 678-4801
(270) 678-3866 (Fax)
National Provider ID: 1033529813
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about DERRICK WAGONER at radaris.com
Name
Address
Phone
Derrick Wagoner, age 43
2611 Avalon Ct APT C, Bowling Green, KY 42103

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